Individual
DR. LARRY WINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
100 E AZTEC AVE, GALLUP, NM 87301-6256
(505) 879-0404
(505) 722-5622
Mailing address
107 E HILL AVE, APT. #10, GALLUP, NM 87301-6261
(505) 879-3060
(505) 722-5622
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2768
NM
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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